Fudger House

Fudger House has 228 long-term care beds, is located in the high-density multi-cultural downtown core of Toronto:

• All resident bedrooms are serviced with central air conditioning
• Built in 1965 and completely renovated in 1985
• Features an outdoor courtyard and welcoming green space, with easy access to public transportation
• Recognized for leading the City's creation of inclusive and affirming long-term care and services for two-spirit, lesbian, gay, bisexual, transgender, and queer persons.

Fudger House offers the following specialized services:

• Behavioural Support Programs
• Short-stay Respite

Behavioural Support Programs

As recognized leaders in behavioural support programs, we have a long history of demonstrated knowledge of dementia, delirium and mental health in the delivery of care.

Staff and medical professionals are knowledgeable in the most prevalent types and related causes of behavioural issues, understand disease processes, stages and progression, diagnostic and assessment process, cognitive or neurological symptoms, treatment interventions, appropriate communication to address resident needs, strategies to promote optimal quality of life and experience of the behaviour(s) from the perspective of the resident, family members and other partners in care.

The inter-professional care team includes doctors, nurses, physiotherapists, occupational therapists, rehabilitation assistants, dietitians, social workers and members of the spiritual and religious care community. They will work with you to make sure you get the services you need, when you need them. Quality health and person-centred care will be provided in your room to allow for privacy, rest and comfort. Your care needs will determine your length of stay. The annual, maximum stay time is 90 days.

We strive to encourage residents to be themselves, take pride in who they are, and enjoy life in an open, dignified, respectful place. The home believes that everyone has the right to quality care that respects their culture, ethno-racial background, family tradition, community, language, all sexual orientations and gender identities, spiritual beliefs and traditions.

Short-Stay Respite

The short-stay admission program supports families seeking respite from the caregiver role for a period of up to 60 continuous days to a maximum of 90 days per year.

Summary of Resident Responses

• 95 per cent of residents feel the home provides a homelike environment, which is clean.
• 95 per cent of residents would recommend this home to others.
• 94 per cent of residents feel the variety and quality of activities meet their needs.
• 92 per cent of residents feel the home provides a welcoming environment where they feel safe and accepted.

Summary of Family Responses

• 100 per cent of families/caregivers feel the home provides a homelike environment, which is clean.
• 97 per cent of families/caregivers feel the staff treat their family member with respect.
• 96 per cent of families/caregivers feel their issues, concerns or requests for information are addressed.
• 96 per cent of families/caregivers feel the home provides an enjoyable mealtime experience.

We will continue to improve

• Variety and quality of food
• Enhancing the dining room experience
• Providing quality care and services
• Responsive communications

For more detailed information, please email: ltc-fh@toronto.ca.

Toronto Emergency Management leads and facilitates activities related to the City’s ability to mitigate, prepare for, respond to and recover from major emergencies.

We have incorporated the City’s Business Continuity Management and Toronto’s Emergency Plan into an Emergency Management Plan for the City’s directly operated long-term care homes.

Fudger House has a structured emergency management process of risk identification, mitigation, preparedness, response and recovery.

The scope of emergency management planning includes a variety of hazardous situations that may occur inside or outside of the long-term care home, such as:

• fire
• natural disaster
• biochemical and bomb threats
• chemical spills
• radiation exposure
• threats of personal violence
• power failure
• utilities and telecommunications failure

All staff members are trained to respond to these universal codes for emergencies:

• Code Red: Fire
• Code Black: Bomb Threat
• Code Yellow: Missing Resident
• Code Green: Evacuation
• Code Orange: External Disaster
• Code White: Violent Behaviour
• Code Blue: Cardiac Arrest
• Code Brown: Hazardous Spill
• Code Grey: Infrastructure Failure

In addition, we follow the Incident Management System (IMS) and have a robust Crisis/Disaster Communication Protocol.

For further information, please contact Janeen Payne, Acting Administrator.

The Quality Improvement Initiative Report for 2026-27 has been developed as required by the Fixing Long-Term Care Act, 2021. As required by Ontario Health, Quality Improvement Plans (QIPs) for 2026-27 were submitted on April 1, 2026. The QIPs guide quality improvement work that improves resident care, safety and outcomes. The QIPs demonstrate our commitment to collaborate with residents, families, caregivers and external partners.

The 2026-27 QIPs, Progress Report and Narrative are available from the Administrator and are posted in each of the LTC homes.

Continuous Quality Improvement (CQI) Initiative Report

2026 Quality Improvement Initiatives and priorities are supported by effective partnerships, committee structures and evidence informed processes. To receive a complete copy of the report, email the Administrator.

Quality Improvement Leads

• Janeen Payne, Administrator, is the designated Quality Improvement Lead and Chair of Site Continuous Quality Improvement (CQI) Committee.
• Elizabeth Juraschka is the Divisional Quality Improvement Advisor.

Priority Areas

Fudger House has identified these areas for improvement, developed in consultation with Residents’ Council, Family Council and aligned to Ontario Health priorities:

• Focus on improving resident outcomes by reducing Emergency Department visits, minimizing antipsychotic medication use and decreasing fall rates through targeted clinical interventions
• Advance staff development by ensuring all full-time staff and managers completed Equity, Diversity and Inclusion education and training
• Improve the dining experience

Policies, Procedures and Protocols that Guide Continuous Quality Improvement

Quality improvement policies have been established to guide quality improvement work and align with the Fixing Long-Term Care Act, 2021, Accreditation standards and required organizational practices, Ontario Health requirements and the Excellent Care for All Act, 2010.

Continuous Quality Improvement Priority Selection Process

Priorities are selected through analysis of:

• Performance data, audits, inspections, program evaluations
• Resident and Family “Your Opinion Counts” experience survey results
• Accreditation Canada and Ontario Health system level priorities

Opportunities for improvement are reviewed throughout the year by the Site CQI Committee, Residents’ Council and Family Council.

Monitoring and Measuring Progress

Fudger House actively monitors and measures progress on its quality improvement plan through a structured, data-driven approach. Performance indicators are aligned with key priorities such as resident safety, clinical outcomes, regulatory compliance and overall satisfaction.

Progress is tracked against defined benchmarks and provincial standards with results compiled into monthly/quarterly performance dashboards. These dashboards identify trends, highlight areas for improvement and inform action plans.

Leadership shares outcomes through various committees and communication strategies to enforce accountability and accelerate improvements ensuring that quality improvement plan remains a living document that drives measurable sustainable enhancements in resident care and organizational performance.

Family and Resident “Your Opinion Counts” Experience Survey

The Your Opinion Counts (YOC) experience survey is administered annually to measure residents and family experiences. The survey was administered in September, after consultation with the Residents’ Council and Family Council. Survey results were analyzed to inform areas for improvement. Fudger House has made every reasonable effort to act on the results of the survey and to improve the long-term care home and the care, services, programs and goods.

Resident, Family and Caregiver Your Opinion Counts Experience Survey requirements under the Fixing Long-Term Care Act, 2021

Fudger House Your Opinion Counts 2025 results

Communication Records

We offer a full range of services including nursing, medicine, food and nutrition, administration, building services, laundry, social work, recreation, rehabilitation, spiritual and religious care, complementary care and music and art therapies.

Families are an integral part in helping make the best decisions for their family member. We offer many opportunities for families to be involved:

• Resident care conferences
• Quality Improvement, Innovation and Risk Management Committee
• Family Council
• Satisfaction surveys
• Volunteer services.

Volunteers provide a vital community link for our residents as do other partners including:

• local hospitals
• universities and colleges
• community agencies and service organizations
• 2SLGBTQI+ organizations and community members
• local churches and cultural groups
• local public schools
• entertainers.